Fill and Sign Legal Forms and Templates

This document is used for obtaining a plant health certificate in the District of Columbia.

This Form is used for obtaining a Federal Seed Analysis Certificate for agricultural seeds. It provides information about the quality and purity of the seeds.

This form is used for obtaining a phytosanitary certificate for the export of plants and plant products.

This type of document is a Remote Work Agreement form. It is used by employers and employees to formalize their agreement regarding remote work arrangements.

This document is used for applying for a land use permit.

This Form is used for applying for a coal lease in the United States. It allows individuals or companies to request authorization to mine coal on federal lands.

This document is used for requesting a reasonable accommodation for training at the BLM National Training Center. It allows individuals to seek necessary accommodations to participate in training programs provided by the center.

This form is used for conducting a criminal history check. It is available in both English and Spanish.

This form is used for requesting air transportation for service animals through the U.S. Department of Transportation.

This type of document is a checklist and monitoring tool specifically designed for healthcare settings outside of the United States. It assists in the triage of suspected COVID-19 cases. The document is provided in French language.

This form is used for obtaining a health and safety certification for in-person arguments. It ensures that proper measures and protocols are followed to protect the health and safety of individuals participating in the argument.

This form is used for creating a checklist of essential items needed in a pet disaster kit. It helps pet owners prioritize and assemble supplies to ensure the safety and well-being of their pets during natural disasters or emergencies.

This Form is used for reporting the death of a patient with End Stage Renal Disease (ESRD) to the Medical Information System.

This application is supposed to be used by individuals when they want to apply for enrollment in Medicare Part B, insurance which provides outpatient medical coverage.

This Form is used for requesting payment for medical expenses by the patient.

This form is used to report the findings of a comprehensive survey of outpatient rehabilitation facilities.

This form is used for conducting site investigations at independent diagnostic testing facilities. It helps gather information about the facility's location, equipment, and personnel to ensure compliance with CMS regulations.

This Form is used for reporting credit balances to Medicare, which refers to overpayments that need to be refunded. It helps healthcare providers accurately calculate and reconcile outstanding credit balances.

This form is used for entering into a data use agreement for limited data sets under CMS-R-0235L.

This form is used for agreeing to use Centers for Medicare and Medicaid Services (CMS) data containing individual identifiers.

This form is used for designating a beneficiary to receive the unpaid compensation of a deceased civilian employee.

This form is used for designating beneficiaries for the Federal Employees' Group Life Insurance (FEGLI) Program.

This form is used for conducting surveys on End Stage Renal Disease (ESRD) facilities that provide dialysis treatment. It helps gather medical information about these facilities.

This Form is used for submitting a Medicare Reconsideration Request at the 2nd Level of Appeal. It allows individuals to request a review of a previous Medicare determination made by Medicare Administrative Contractors (MACs) or other entities.

This Form is used for obtaining approval for alternate Arff/Hangar fire protection in accordance with the DCMA-AO requirements.

This Form is used for conducting forensic toxicology investigations. It is used by the Armed Forces Medical Examiner System (AFMES) to collect and analyze samples for the presence of drugs, alcohol, and other substances in cases of suspicious deaths or criminal investigations.

This form is used for healthcare providers to apply for enrollment in the Medicare program.